NPI: 1376821371 · FORT FAIRFIELD, ME 04742 · Dentist · NPI assigned 07/26/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,823 | $178K |
| 2019 | 2,383 | $240K |
| 2020 | 2,353 | $183K |
| 2021 | 2,739 | $307K |
| 2022 | 2,476 | $242K |
| 2023 | 1,971 | $221K |
| 2024 | 1,140 | $86K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2740 | 761 | 554 | $460K | |
| D2751 | 477 | 396 | $234K | |
| D2392 | 1,493 | 855 | $192K | |
| D2950 | 1,230 | 953 | $142K | |
| D7140 | 1,017 | 364 | $71K | |
| D0210 | 848 | 828 | $55K | |
| D0140 | 1,448 | 1,357 | $46K | |
| D0150 | 1,378 | 1,331 | $44K | |
| D2393 | 267 | 174 | $44K | |
| D1110 | 860 | 839 | $42K | |
| D0120 | 1,575 | 1,520 | $36K | |
| D0274 | 924 | 893 | $30K | |
| D0220 | 1,581 | 1,452 | $25K | |
| D2391 | 357 | 215 | $23K | |
| D1120 | 265 | 255 | $9K | |
| D1206 | 175 | 172 | $3K | |
| D0270 | 154 | 143 | $2K | |
| D0230 | 75 | 48 | $555.80 |